FRCA Notes


Dexamethasone


Uses

  • Anti-emetic
    • Effective at prevention of PONV if given at the start of anaesthesia, although not effective rescue therapy
    • Reduces both incidence and severity of PONV, as well as the need for additional anti-emetics
    • May not reduce incidence of 'clinically significant' PONV, a patient-reported outcome reflecting patient experience (BJA, 2022)
    • Low doses may be as effective as higher doses

  • Analgesia
    • Prolongs the duration of analgesia from regional and neuraxial techniques
      • Benefits mostly apply to upper limb blocks
      • Prolonged duration of sensory block with reduced pain intensity at 24hrs, but not 48hrs
      • Effect seen regardless of whether dexamethasone given IV or perineurally
      • Lower doses may be as effective as higher doses

    • May have a small intrinsic analgesic effect (BJA, 2013)
    • May carry an increased risk of persistent post-operative wound pain at six months (BJA, 2023)

  • Reduction of oedema including airway oedema and cancer-associated oedema
  • Replacement therapy in glucocorticoid deficient states or sick day rules
  • Immunosuppression e.g. IBD
  • Chemotherapy in certain cancers e.g. lymphomas

Dosing

  • Anti-emesis and analgesia: 0.15mg/kg IV single dose (4 - 8mg PO / 3.3mg - 6.6mg IV)
  • Airway swelling: 6.6mg IV TDS
  • Metastatic cord compression: 16mg daily in divided doses

Presentation

  • 2mg tablets
  • 3.3mg/ml clear, colourless solution stored in glass vials at room temperature for IV use
  • As creams for topical use

  • Precise mode of action as an anti-emetic and analgesic adjunct not well understood
  • May involve:
    • Endogenous prostaglandin antagonism via inhibition of cylco-oxygenase and lipoxygenase enzymes
    • Stimulation of endorphin release and altered spinal cord nociceptive processing
    • Suppression of substance P and CGRP release from nerve endings
    • Reduced gastrointestinal 5-HT secretion

Absorption

  • Peak plasma levels within 5mins of administration
  • Time to onset of effects 1-2hrs

Distribution

  • 77% protein bound

Metabolism

  • Slow hepatic metabolism

Elimination

  • Excretion mainly renal as unconjugated steroids
  • Plasma half-life largely irrelevant as effects outlast plasma levels
  • Biological half life approximately 48 - 72hrs

Cardiovascular

  • Positive effect on myocardial contractility
  • Can increase vasomotor tone and effect of vasopressor drugs by increasing number of ɑ1 and β-adrenoreceptors
  • Prevents oedema formation by reducing capillary wall permeability

Neurological

  • Increase CNS excitability, which may manifest as insomnia and hyperexcitability, particularly in the elderly
  • No significant difference in post-operative delirium or post-operative cognitive dysfunction when dexamethasone used
  • Improved QoR-40 scores
  • Analgesia as above

Renal

  • Increases urinary calcium excretion
  • Increased GFR
  • Has minimal mineralocorticoid activity

Glucose control

  • Concerns over erratic glycaemic control, especially in diabetics, are largely disproven
  • The PADDAG trial showed neither 4mg nor 8mg of dexamethasone induced greater hyperglycaemia than placebo in patients, be they non-diabetic or well-controlled diabetics
    • The maximal perioperative glucose after 8mg dexamethasone was related to the baseline HbA1c value in a concentration dependent fashion

  • Blood glucose and insulin use was a tertiary outcome of the PADDI trial, which demonstrated:
    • Those receiving dexamethasone had higher levels of blood glucose compared to baseline, but the difference vs. placebo was small (~1mmol/L)
    • No difference in incidence of hypoglycaemic events
    • RR 3.66 of hyperglycaemia (>10mmol/L) in non-diabetic patients (although overall numbers low; 0.6% in the dexamethasone group)
    • RR 4.74 of insulin requirement in non-diabetic patients (although overall numbers low; 0.5% in the dexamethasone group)

Gastrointestinal

  • Single dose not associated with common side effects of chronic steroid use
  • Reduces GI absorption of calcium
  • Chronic use associated with multiple effects, including peptic ulcer disease

Metabolic

  • Gluconeogenesis and increased peripheral uptake of glucose
  • Lipolysis
  • Inhibits conversion of amino acids to proteins, causing a negative nitrogen balance
  • Acute withdrawal of long-term use can cause Addisonian crisis

Immunological

  • Wound infection
    • The PADDI trial found a single dose of 8mg dexamethasone was non-inferior to placebo with respect to risk of surgical site infection at 30 days
    • Other trials have not demonstrated an increased risk of wound infection or poor wound healing with (even high dose) perioperative steroids

  • Immunosuppression
    • Reduce the adaptive immune response for up to 48hrs, but little effect on the innate response
    • Some concern this immunosuppression could worsen outcomes following surgery for cancer, but to date (admittedly poor quality) studies support either no effect or potentially some benefit